active listening

1. ACTIVE LISTENING SKILLS

2. ATTITUDES
 Empathy
 Unconditional Positive Regard
 Congruence

3. Active Listening
 Effortful listening (not just hearing)
 Requires to communicate accurate empathy and understanding to the person listened to

4. Attending Skills
 L - lean forward
 O - open stance
 V - voice of compassion
 E - eye contact
 R - relaxed
 S - sit at an angle

5. Bracketing
 “Chismis”
 Tendency to interpret
 Biases and prejudices
 Judgements
 Feelings
 Experiences

6. Leading
 INDIRECT LEAD – an open invitation to talk about everything
 DIRECT LEAD
ask about:
what was said last
where the emotion was greatest
what was repeated

7. Reflecting Skills
1. Content
2. Feelings
3. Non-verbals

8. Reflecting Content: PARAPHRASING
 Brevity and Clarity: “Saying in 10 words what the client said in a hundred”
 Accuracy: “Walang dagdag, walang bawas”

9. Reflecting Content: PERCEPTION CHECKING
 A paraphrase that is made into a question
“…is that is?”
“…did I get you right?”

10. Reflecting Feelings
 Feelings are neither right nor wrong
 It is the feeling you do not acknowledge that will take control of your life
 Behind every feeling is a perception (or a misperception)
 “It seems that you feel..”
 MAD, GLAD, SAD, AFRAID

11. Reflecting Nonverbal Behaviors
 Point out the non-verbal behavior
 …then probe for its meaning.

12. Probing
 Ask essay questions, not objective questions
 Probe where the emotion is heaviest
 Probe what was repeated
 Probe what was reserved for last
how does that make you feel?
can you tell more about that feeling?

13. Focusing
 Enumerate the issues brought up..
 ..then ask which one is the heaviest..
 ..or which one the patient wants to talk about first.